Questions 9

ATI RN

ATI RN Test Bank

Ethics and Issues in Contemporary Nursing Questions

Question 1 of 5

A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementiThe nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:

Correct Answer: C

Rationale: Step-by-step rationale for why choice C (case manager) is correct: 1. A case manager coordinates referrals and services for patients with complex needs, such as this patient with diabetes and dementia. 2. In this scenario, the nurse is coordinating referrals to an endocrinologist and organizing physical therapy, which aligns with the role of a case manager. 3. Case managers ensure continuity of care and facilitate communication between different healthcare providers. 4. The nurse's role in organizing follow-up care and services for the patient falls under the responsibilities of a case manager. Summary of why other choices are incorrect: A: Informatics specialist - This role focuses on managing health information systems, not coordinating referrals and services for patients. B: Educator - While education may be a component of the nurse's role, the primary focus in this scenario is on coordinating referrals and services, which is more in line with a case manager's responsibilities. D: Quality manager - Quality managers focus on ensuring healthcare services meet quality standards

Question 2 of 5

The Health Care Reform Act provides insurance for all U.S. citizens and legal residents presenting far-reaching ethical considerations related to diverse individual patient health care beliefs for those delivering nursing care. Nurses must consider their civil rights under the rights of conscience and how new health care agendas such as the Patient Protection and Affordable Care Act (PPACA) could affect their practice in situations that may conflict with their own belief system. Today's practicing nurse must:

Correct Answer: A

Rationale: Step-by-step rationale for why answer A is correct: 1. Professional duty: Nurses have a duty to provide patient-centered care regardless of personal beliefs. 2. Legal liability: Withholding treatment based on personal beliefs can lead to legal consequences. 3. Ethical considerations: Nurses must prioritize patient care over personal beliefs. 4. Rights of conscience: Nurses may have the right to refuse to participate in certain treatments, but they must still ensure patient care. 5. Patient-centered care: Nurses must respect patient autonomy and provide care based on the patient's wishes. Summary of why the other choices are incorrect: B. Irrelevant to the nurse's duty to provide patient-centered care. C. Nurses should not impose their beliefs on patients but should respect and support their choices. D. Suggesting the hospital not accept federal funding does not address the nurse's duty to provide patient-centered care.

Question 3 of 5

A pregnant woman reports back pain and wants to try a complementary alternative medicine (CAM) therapy. The nurse knows that which CAM would be contraindicated?

Correct Answer: A

Rationale: The correct answer is A: Magnet therapy. Magnet therapy is contraindicated in pregnancy due to the risk of unknown effects on the fetus. Magnets may interfere with the body's natural magnetic fields, potentially causing harm to the developing baby. Aromatherapy (B), imagery (C), and therapeutic touch (D) are generally considered safe during pregnancy when performed by trained professionals and with appropriate precautions. Aromatherapy uses essential oils, imagery involves mental visualization techniques, and therapeutic touch uses energy-based techniques that do not pose significant risks to the pregnant woman or the fetus.

Question 4 of 5

A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess?

Correct Answer: C

Rationale: The correct answer is C: Connection. The nurse's power comes from her ability to network and build relationships with influential individuals like the Chief of Medical Staff and the President of the hospital. This grants her access to information, resources, and opportunities not available to others. This power is based on who she knows rather than her expertise (A), position (B), or ability to offer rewards (D). The nurse's statement implies that her influence stems from her connections, making choice C the most appropriate answer.

Question 5 of 5

Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for large numbers of individuals in the event of a natural or manmade disaster. These activities represent which phase of a disaster continuum?

Correct Answer: A

Rationale: The correct answer is A: Preparedness. In this scenario, nurses and community officials are proactively planning and organizing resources to be ready for a disaster. Preparedness involves activities such as training, drills, and stockpiling supplies to ensure an effective response. Relief response (B) occurs during or immediately after a disaster to provide immediate assistance. Recovery (C) focuses on restoring community infrastructure and services post-disaster. Crisis intervention (D) is a short-term, immediate response to individuals in distress. In this case, the focus is on prevention and readiness, fitting the preparedness phase.

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